| Disease Subtype(s) |
HCT Disease Inserts Required |
Cellular Therapy Disease Inserts Required |
Hodgkin Lymphoma
- Nodular lymphocyte predominant Hodgkin lymphoma (155)
- Lymphocyte-rich (151)
- Nodular sclerosis (152)
- Mixed cellularity (153)
- Lymphocyte depleted (154)
- Classic Hodgkin lymphoma (150)
Burkitt Lymphoma
Large B-Cell Lymphomas
- ALK-positive large B-cell lymphoma (1833)
- Mediastinal grey zone lymphoma (149)
- High-grade B-cell lymphoma with 11q aberrations (1834)
- Diffuse large B-cell lymphoma- activated B-cell subtype (1821)
- Diffuse large B-cell lymphoma- germinal center B-cell subtype (1820)
- Diffuse large B-cell Lymphoma, NOS
- Diffuse large B-cell lymphoma/ high grade B-cell lymphoma with MYC and BCL2 rearrangements (1831)
- Diffuse large B-cell lymphoma/ high grade B-cell lymphoma with MYC and BCL6 rearrangements (1837)
- Diffuse large B-cell lymphoma/ high grade B-cell lymphoma with MYC, BCL2, and BCL6 rearrangements (1838)
- Diffuse large B-cell lymphoma associated with chronic inflammation (1825)
- EBV-positive diffuse large B-cell lymphoma (1823)
- Fibrin-associated large B-cell lymphoma (1839)
- Fluid overload-associated large B-cell lymphoma (1840)
- Intravascular large B-cell lymphoma (136)
- Large B-cell lymphoma with IRF4 rearrangement (1832)
- Lymphomatoid granulomatosis (1835)
- Plasmablastic lymphoma (1836)
- Primary cutaneous diffuse large B-cell lymphoma, leg type (1822)
- Primary mediastinal large B-cell lymphoma (125)
- T-cell/histiocytic rich large B-cell lymphoma (120)
- High-grade B-cell lymphoma, NOS (1830)
Primary Large B-Cell Lymphoma of Immune-Privileged Sites
- Primary large B-cell lymphoma of the CNS (118)
- Primary large B-cell lymphoma of the testis (1881)
- Primary large B-cell lymphoma of the itreoretinal (1882)
KSHV/HHV8-Associated B-Cell Lymphoid Proliferations and Lymphomas
- Primary effusion lymphoma (138)
- KSHV/HHV8-positive diffuse large B-cell lymphoma (1826)
|
Form 2018 & 2118 |
Form 2018 & 2118 |
Lymphoplasmacytic Lymphoma
- Lymphoplasmacytic lymphoma (173)
- IgM-LPL/Waldenstron macroglobulinemia (1883)
- Non-IgM-LPL/Waldenstron macroglobulinemia (1884)
|
Form 2019 & 2119 |
Form 2019 & 2119 |
Marginal Zone Lymphoma
- Extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (122)
- Nodal marginal zone lymphoma (123)
- Pediatric marginal zone lymphoma (1813)
- Primary cutaneous marginal zone lymphoma (1885)
Splenic B-Cell Lymphomas
- Splenic B-cell lymphoma/leukemia with prominent nucleoli (1811)
- Splenic marginal zone lymphoma (124)
- Splenic diffuse red pulp small B-cell lymphoma (1812)
Follicular Lymphoma
- Duodenal-type follicular lymphoma (1815)
- Follicular, mixed, small cleaved and large cell (grade II follicle center lymphoma) (103)
- Follicular, predominantly large cell (grade IIIA follicle center lymphoma) (162)
- Follicular, predominantly large cell (grade IIIB follicle center lymphoma) (163)
- Follicular, predominantly large cell (grade IIIA vs IIIB not specified) (1814)
- Follicular, predominantly small cleaved cell (grade I follicle center lymphoma) (102)
- Pediatric-type follicular lymphoma (1816)
- Follicular (grade unknown) (164)
Cutaneous Follicle Center Lymphoma
- Primary cutaneous follicle center lymphoma (1817)
Mantle Cell Lymphoma
- Mantle cell lymphoma (115)
- Leukemic non-nodal mantle cell lymphoma (1886)
Transformations of Indolent B-Cell Lymphomas
- Transformations of indolent B-cell lymphomas (1887)
Lymphomas Associated with Immune Deficiency and Dysregulation
- Classical Hodgkin lymphoma PTLD (1876)
- Infectious mononucleosis PTLD (1872)
- Monomorphic PTLD (B- and T-/NK-cell types) (1875)
- Hyperplasia arising in immune deficiencies (e.g. PTLD) (1871)
- Polymorphic lymphoproliferative disorders arising in immune deficiency/dysregulation (1874)
- EBV-positive mucocutaneous ulcer (1824)
Mature T-Cell and NK-Cell Leukemias
- Adult T-cell lymphoma/leukemia (134)
- Aggressive NK-cell leukemia (27)
- NK-large granular lymphocytic leukemia (1856)
- Sézary syndrome (142)
- T-large granular lymphocytic leukemia (126)
Primary Cutaneous T-Cell Lymphomas
- Mycosis fungoides (141)
- Primary cutaneous acral CD8- positive lymphoproliferative disorder (1853)
- Primary cutaneous CD4-positive small or medium T-cell lymphoproliferative disorder (1854)
- Primary cutaneous CD8-positive aggressive epidermotropic cytotoxic T-cell lymphoma (1852)
- Primary cutaneous CD30 positive T-cell lymphoproliferative disorder: lymphomatoid papulosis (147)
- Primary cutaneous CD30-positive T-cell lymphoproliferative disorder: primary cutaneous anaplastic large cell lymphoma (1888)
- Primary cutaneous gamma / delta T-cell lymphoma (1851)
- Subcutaneous panniculitis-like T-cell lymphoma (146)
- Primary cutaneous peripheral T-cell lymphoma, NOS (1889)
Intestinal T-Cell and NK-Cell Lymphoid Proliferations and Lymphomas
- Enteropathy-associated T-cell lymphoma (133)
- Indolent T-cell lymphoma of the gastrointestinal tract (1858)
- Indolent NK-cell lymphoproliferative disorder of the gastrointestinal tract (1890)
- Monomorphic epitheliotropic intestinal T-cell lymphoma (1857)
- Intestinal T-cell lymphoma, NOS (1891)
Hepatosplenic T-Cell Lymphoma
- Hepatosplenic T-cell lymphoma (145)
Anaplastic Large Cell Lymphoma
- ALK-positive anaplastic large cell lymphoma (143)
- ALK-negative anaplastic large cell lymphoma (144)
- Breast implant–associated anaplastic large cell lymphoma (1861)
Nodal T-Follicular Helper (TFH) Cell Lymphoma
- Nodal TFH cell lymphoma, angioimmunoblastic-type (131)
- Nodal TFH cell lymphoma, follicular-type (1859)
- Nodal TFH cell lymphoma, NOS (1860)
Other Peripheral T-Cell Lymphomas
- Peripheral T-cell lymphoma NOS (130)
EBV-Positive NK/T-Cell Lymphomas
- EBV-positive nodal T- and NK-cell lymphoma (1892)
- Extranodal NK/T-cell lymphoma (137)
EBV-Positive T- and NK-Cell Lymphoid Proliferations and Lymphomas of Childhood
- Systemic EBV-positive T-cell lymphoma of childhood (1855)
- Other B-cell lymphoma (129)
- Other T-cell/NK-cell lymphoma (139)
|
Form 2018 & 2118 |
Form 2018 & 2118 |
Last modified:
May 29, 2024
